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AppointmentReciept

MinistryofExternalAffairsGovernmentofIndia
OnlineAppointmentReceipt
ApplicantDetails:

PaymentDetails#

ApplicationReferenceNo.
150003326436
(ARN)

TotalFee(Rs.)

3500.00

PaidFee(Rs.)

1500.00

DateandTime

08/04/201501:43PM

TransactionId

IG00VRVWW7

ServiceType

FRESH

TypeofApplication

TATKAAL

GivenName

ANISH

Surname

AGRAWAL

AppointmentDetails:

Father'sName

VIJAYAGRAWAL

Mother'sName

MAYAAGRAWAL

DateofBirth

21/11/1992

PassportSeva
KANPUR,
KendraAddress 111/18A,ANANDVAIBHAVBUILDING,HARSH
NAGAR,GTROAD,KANPUR.208012

PlaceofBirth

SATNA,SATNA,MADHYAPRADESH

Gender

MALE

MaritalStatus

SINGLE

EmploymentType

STUDENT

ApplicationSubmitted
Date

16/03/2015

PresentResidential
Address

F109,HALL5IITKANPUR,KANPUR,
KANPURNAGAR,208016,UTTAR
PRADESH,INDIA

ApplicantsReferencesDetails:
FirstReference

SHIVAMYADAV,F203HALL5,IIT
KANPUR,8953440659

SecondReference

MOHITSINGH,F101HALL5,IIT
KANPUR,8953435643

Appointment 100006443864315
Id
Appointment 09/04/2015&10:15AM
DateandTime
Reporting
09/04/2015&10:00AM
DateandTime
Appointment
Quota

Batch

Sequence
No.

TATKAAL

PleaseReadCarefully:
PleasereachPassportSevaKendra(PSK)at10:00AMasmentionedaboveandcarrytheprintedcopyofthisappointmentreceipt.
Check Document Advisor on website 'www.passportindia.gov.in' to know the documents required at PSK.Carry original documents and
theirselfattestedphotocopies.FinaldecisionwithregardtodocumentsrequiredisatthediscretionofRPOstaffatPSK.
Incaseofminorapplicants(below4yearsofage),carrytherecentpassportsizephotograph(4.5X3.5cm)withwhitebackground.
OnlyapplicantisallowedinsidethePSK.However,in case of exceptions such as Senior Citizen / Physically Challenged / Illiterate / Minor
applicants,onepersonfromthefamilymaybeallowedtoaccompanyinsidePSK.
At PSK, a paper token will be issued to you after checking of documents.Your application will be processed at Counter A followed by
countersBandC.Atallstages,pleasebealertandwatchthetokendisplayscreenstoknowthecounteratwhichyourapplicationwillbe
processed.PleasecollectacknowledgementslipfromtheExitcounterbeforeleavingPSK.Also,youarerequestedtofillthefeedbackform
attheexitcounter.
IncaseofTatkaalapplication,balanceservicefeehastobepaidincashinsidePSK.Pleasecollectthepaymentreceiptfromthecounter
afterpayment.
Corrosivesubstances,explosives,weaponsandanysharpobjectsarenotallowedinsidethePSK.Pleasecooperatewithsecuritystafffor
friskingbeforeentryinPSK.Yoursecurityisourprimaryconcern.
TakecareofyourbelongingsinsidethePSK.
KeepyourmobileinsilentmodeinsidePSK.Alsovideo/photographyisnotallowedinside.
Thanks for showing your interest in 'Passport Seva SMS Services' enrolment. Please pay Rs 35/ (THIRTY FIVE ONLY) in cash as the
EnrolmentChargesduringyourvisittoPassportSevaKendra.
Applicants applying under "TATKAAL" scheme may please note that their application processing at Passport Seva Kendra may take
approximately2hoursduetoadditionalverificationsrequiredbeforeprocessingofsuchapplications.Therefore,"TATKAAL"applicantsare
advisedtoplantheirscheduleaccordingly.
Balancefee(ifapplicable)aftereditingthesubmittedformwillbepayableincashatthePassportSevaKendra.
ATMfacilityavailableatPSKforallBankCards.
Helpustoserveyoubetter.
#DetailsasperthePaymentDate.Paymentoncemadeforavailingpassportserviceswillnotberefunded.

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ThefollowingtablelistsApplicantCategoriesalongwiththeDocumentstobeSubmitted.TheDocumentNo.mentionedin
DocumentstobeSubmittedcolumnisthereferencegiventothedocumentmentionedinListofDocumentstable.

ApplicantCategories

DocumentstobeSubmitted

OrdinaryCase(CitizenofIndiabybirth)

(i)1,2,3(iftheapplicantiseligibleforNonECR),19
(ii)18or21

CitizenofIndiabyDescent(BorntoIndianparent(s)outsideIndia)

CannotapplyunderTatkaalScheme

CitizenofIndiabyRegistration/Naturalization(GrantedcitizenshipbyMHA)

CannotapplyunderTatkaalScheme

ApplicantsrepatriatedfromabroadatGovernmentcost

CannotapplyunderTatkaalScheme

ApplicantsdeportedtoIndia/EmergencyCertificatecases

CannotapplyunderTatkaalScheme

Government/PublicSector/Statutorybodyemployees

(i)1,2
(ii)15(ifNoPoliceVerificationisrequired)or14(ifPostPoliceVerificationis
required)

DependentfamilymembersofGovernment/PublicSector/Statutorybody
employees(ForJ&Kchildreninagegroup1015yearsarecovered.Forrestof
Indiachildreninagegroup1821arecovered)

(i)1,2,3(iftheapplicantiseligibleforNonECR),19
(ii)15(ofdependent)or18or21

Retiredgovernmentofficials

(i)1,2,19
(ii)5or18or21

ApplicantshavingDiplomatic/OfficialPassportandapplyingforordinary
Passportwhileinservice

(i)1,2,6(7ifsurrendercertificateisnotavailable),19
(ii)15or14ifapplicantisGovernment/PublicSector/Statutorybodyemployee
(iii)18or21ifapplicantisnotaGovernment/PublicSector/Statutorybody
employee
Note:Incasetheapplicantsubmits"7","2"isnotrequired

DependentfamilymembersofDiplomatic/OfficialPassportholderswhoarenot
governmentservants(ForJ&KChildreninagegroup1015yearsarecovered)

(i)1,2,3(iftheapplicantiseligibleforNonECR),22,19
(ii)18or21

Owner,partnersanddirectorsofCompanieswhicharemembersofCII,FICCI& (i)1,2,19
ASSOCHAM.
(ii)20or21
Minorchangeinname

(i)1(innewname),2(inoldname),3(iftheapplicantiseligibleforNonECR
Documentsinoldnameareallowed),17,19
(ii)18or21

Majorchangeinname

CannotapplyunderTatkaalScheme

Change/Additioninsurnameduetomarriage

(i)1,2,3(iftheapplicantiseligibleforNonECR),19
(ii)8or16
(iii)18or21

ChangeinnameincaseofGovernment/PublicSector/Statutorybody
employees

(i)1,2,9,10,17,19
(ii)18or21

NagalandResidents

CannotapplyunderTatkaalScheme

NagaoriginsresidingoutsideNagaland

CannotapplyunderTatkaalScheme

JammuandKashmirResidents

CannotapplyunderTatkaalScheme
Note:MandatoryPrePoliceVerificationrequired

JammuandKashmirResidentsstayingoutsideJ&Kformorethanfiveyears

(i)1,2,3(iftheapplicantiseligibleforNonECR),19
(ii)18or21
(iii)Proofofregistration/Migrationcertificate

Studentsstayingawayfromtheirparent'scurrentresidence

(i)1,2,3(iftheapplicantiseligibleforNonECR),11,12,19
(iii)18or21

SeniorCitizens(ForJ&K:Men65+years,Women60+yearsForrestof
India65+years)

(i)1,2,3(iftheapplicantiseligibleforNonECR),19
(ii)13or18or21

Document
No.

ListofDocuments
ProofofPresentAddress.ForProofofAddressattachoneofthefollowingdocuments:

1.

a. Waterbill/Telephone(landlineorpostpaidmobilebill)/Electricitybill(atleast2billsarerequiredOnebillshouldofbeoflastyear
andtheotherbillofcurrentyear)
b. PhotopassbookofrunningBankAccount(ScheduledPublicSectorBanks,ScheduledPrivateSectorIndianBanksandRegionalRural
Banksonly)
c. IncomeTaxAssessmentOrder
d. ElectionCommissionPhotoIDcard
e. Gasconnectionbill
f. CertificatefromEmployerofreputedandwidelyknowncompaniesonletterhead(Onlypubliclimitedcompaniescangiveaddressproof
oncompanyletterheadalongwithseal.Computerisedprintoutsshallnotbeentertained)
g. Spouse'spassportcopy(Firstandlastpageincludingfamilydetails),(providedtheapplicant'spresentaddressmatchestheaddress
mentionedinthespouse'spassport)
h. Applicant'scurrentandvalidrationcard
NOTE1:Ifanyapplicantsubmitsonlyrationcardasproofofaddress,itshouldbeaccompaniedbyonemoreproofofaddressoutof
thegivencategories.
i. Parent'spassportcopy,incaseofminors(Firstandlastpage)
j. AadhaarLetter/Card(IfaadhaarcardissuancedateislessthanayearfrompassportapplicationprocessingdateatPSK,itshouldbe
accompaniedbyonemoreproofofaddressoutofthegivencategories)
k. RegisteredRentAgreement(foraperiodofmorethanoneyear)
ProofofDateofBirth.ForProofofDateofBirthattachoneofthefollowingdocuments:

2.

a. BirthcertificateissuedbyaMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeathCertificatebytheRegistrarofBirths
&Deaths
b. Schoolleavingcertificate/SecondarySchoolleavingcertificate/CertificateofRecognizedBoardsfromtheschoollastattendedbythe
applicantoranyotherrecognizededucationalinstitution
c. AffidavitswornbeforeaMagistrate/Notarystatingdate/placeofbirthasperthespecimeninAnnexure"A"byilliterateorsemiilliterate
applicants(Lessthan5thclass).
Forapplicantsbornonorafter26.01.89,onlyBirthCertificateissuedbytheMunicipalAuthorityoranyofficeauthorizedtoissueBirthandDeath
CertificatebytheRegistrarofBirths&Deathsisacceptable.TheBirthCertificateshouldordinarilycontainthenameofchild,nameoffatherand

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mother,dateofbirth,placeofbirth,sex,registrationnumberanddateofregistration.IftheBirthCertificatedoesn'tcontainthenameofchild,a
declarationonplainpapersignedbyparents,isrequiredtobesubmittedspecifyingthenameofthechild.
3.

DocumentaryproofforanyoneoftheNonECR(previouslyECNR)categories,ReferColumn2.15underSectionBofpassportinstruction
booklet

4.

OldPassportinoriginalwithselfattestedphotocopyofitsfirsttwoandlasttwopages,includingECR/NonECRpage(previouslyECNR)andthe
pageofobservation(ifany),madebyPassportIssuingAuthorityandvalidityextensionpage,ifany,inrespectofshortvaliditypassport

5. PensionPaymentOrder
6. ProofofsurrenderorcancellationofDiplomatic/officialPassport
7. CancelledPassport(ifsurrendercertificateisnotavailable),withaletterexplainingwhysurrendercertificateisnotavailable
8. AnattestedcopyofmarriagecertificateissuedbyRegistrarofMarriage
9. GazetteNotificationchangingnameinapplicant'sdepartment
10. FreshIDCertificateinchangedname
11. StudentIdentityCardissuedbyGovernmentRecognizedEducationalInstitutions,inrespectoffulltimecourses
12. BonafideLetterfromauthorizedsignatoryofcollege(OnofficialletterheadofUGCrecognizedCollege)
13. Copyofchild's(Age>18)Passport,whoisstayingabroad(withpagehavingparent'sname)
14. NoObjectionCertificate(NOC)(asperAnnexure'M')
15. "IdentityCertificate"inoriginalasperAnnexure"B"
16.

Ajointaffidavitfromhusbandandwifealongwithajointphotograph,(SpecimenatAnnexure"D")Whenjointaffidavitisnotpossibletheaffidavit
shouldindicatethereasonforit.Ifapplyingforpassportforthefirsttime,thisaffidavitisrequiredonlyifthereisachangeinthefirstname.

17. Deedpoll/swornaffidavitasperAnnexure"E"
18. VerificationCertificateasperthespecimenasperAnnexure"F"
19. StandardAffidavitasperAnnexure"I"
20. VerificationCertificateasperAnnexure"J"
3outof16documentslistedareasunder:

21.

a. ElectorsPhotoIdentityCard(EPIC)
b. ServicePhotoIdentityCardissuedbyState/CentralGovernment,PublicSectorUndertakings,localbodiesorPublicLimitedCompanies
c. SC/ST/OBCCertificates
d. FreedomFighterIdentityCards
e. ArmsLicenses
f. PropertyDocumentssuchasPattas,RegisteredDeedsetc.
g. RationsCards
h. PensionDocumentssuchasexservicemen'sPensionBook/PensionPaymentorder,exservicemen'sWidow/DependentCertificates,
OldAgePensionOrder,WidowPensionOrder
i. RailwayIdentityCards
j. IncomeTaxIdentity(PAN)Cards
k. Bank/Kisan/PostOfficePassbooks
l. StudentPhotoIdentityCardsissuedbyGovernmentRecognizedEducationalInstitutionsinrespectoffulltimecourses
m. DrivingLicenses(validandwithinthejurisdictionofStateofsubmissionofapplication)
n. BirthCertificatesissuedundertheRBDAct
o. GasConnectionBill(ofoneyearbeforeandcurrentbill)
p. AadhaarLetter/Card
NOTE2:(i)Forthreedocumentstobesubmittedfromthesixteendocumentslistedabove,oneofthethreedocumentsshouldbeaphoto
identitydocumentandatleastoneofthethreemustbeamongstthedocumentsindicatedat(a)to(i)above
(ii)Nameinallthethreedocumentsshouldbesame
(iii)Allabovedocumentsarerequiredtobeproducedinoriginalalongwithselfattestedcopies.

22. PhotocopyofDiplomatic/OfficialPassport

Note:Thelistofdocumentsprovidedinthetableaboveisindicative.ThedecisionofAPO/RPOshallbeconsideredfinal.

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